Individual provider Active NPI

Tamara Kay Gray, D.D.S.

  • General Practice Dentistry
  • Keller, TX
National Provider Identifier
1215071626
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19202 Issued in TX
Practice address
1870 Keller Pkwy Ste 300
Keller, TX 76248-3781
Phone
(817) 337-4344
Fax
(817) 337-4388
NPI assigned
Feb 18, 2007
Last updated
Feb 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19202 TX Primary

Addresses

Primary practice location

1870 Keller Pkwy Ste 300
Keller, TX 76248-3781

Mailing address

1870 Keller Pkwy Ste 300
Keller, TX 76248-3781
Phone (817) 337-4344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19202TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gray Family Dental, PA Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1215071626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 KELLER PKWY STE 300",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483781",
            "telephone_number": "817-337-4344",
            "fax_number": "817-337-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 KELLER PKWY STE 300",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483781",
            "telephone_number": "817-337-4344",
            "fax_number": "817-337-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "TAMARA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-18",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.